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General NPI Number Information
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NPI Number | 1205714060
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Entity Type | Organization
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Legal Business Name | EXTREME LUXURY LIMO LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 10804 PRAIRIE STONE PL
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City | BAKERSFIELD
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State | CA
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Zip | 93311-2855
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Country | US
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Telephone | 661-205-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 10804 PRAIRIE STONE PL
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City | BAKERSFIELD
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State | CA
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Zip | 93311-2855
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JAGPREET BASRA
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Credential |
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Telephone | 661-205-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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